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PETER KIM, D.D.S., PROFESSIONAL CORP.
NPI 1376964064
Preferred Provider Organization in Cerritos, CA

Active since December 23, 2013
11899 DEL AMO BLVD, CERRITOS, CA 90703(562) 402-4411(562) 402-5052 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Kim, D.d.s., Professional Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER KIM, D.D.S., PROFESSIONAL CORP. (NPI 1376964064) is a healthcare organization registered as a preferred provider organization in Cerritos, California and active in the NPI registry since December 2013. The organization lists Peter Ung Kwon Kim, President, as its authorized official.

NPPES Registry Identity

NPI1376964064
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePETER KIM, D.D.S., PROFESSIONAL CORP.
Location Address11899 DEL AMO BLVDCerritos, CA 90703-7605
Mailing Address11899 Del Amo BlvdCerritos, CA 90703-7605 · (562) 402-4411 · Fax (562) 402-5052
Phone(562) 402-4411
Fax(562) 402-5052
Organization SubpartNo
Authorized OfficialPeter Ung Kwon KimPresident · (562) 402-4411
Enumeration DateDecember 23, 2013
✔ NPI 1376964064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · 49769
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
11899 DEL AMO BLVD, Cerritos, CA 90703
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEUNG JOON HYUN DDS
Dentist (General Practice)
11899 DEL AMO BLVD
CERRITOS, CA 90703
Los Angeles County (562) 402-4411
PETER KIM, D.D.S., P.C.
Dentist
11899 DEL AMO BLVD
CERRITOS, CA 90703
Los Angeles County (562) 402-4411
KEVIN SEUNGJOON HYUN D.D.S. INC
Clinic/Center (Dental)
11899 DEL AMO BLVD
CERRITOS, CA 90703
Los Angeles County (562) 402-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Kim, D.D.S., Professional Corp.'s NPI number?

The NPI number for Peter Kim, D.D.S., Professional Corp. is 1376964064. It was assigned to this organization in the NPPES registry on December 23, 2013.

Where is Peter Kim, D.D.S., Professional Corp. located?

Peter Kim, D.D.S., Professional Corp. is located at 11899 Del Amo Blvd, Cerritos, CA 90703. The listed phone number is (562) 402-4411.

What is Peter Kim, D.D.S., Professional Corp.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Peter Kim, D.D.S., Professional Corp. was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.